HomeMy WebLinkAbout6946-zFO~M NO, ·
TOWN OF SOUTHOLD
BU~[.r)ING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at . .~ee~-V~ew-A~e ......... Street
Map No.. XX ........ Block No...xX ..... Lot No, :xXX.. Y.:L~h~s. I~laRd...I~,]Z,..
conforms substantially to the Application for Building Permit heretofore filed in thi~ office
dated ........Au~ ..... ? .... , 19~.. pursuant to which Building Permit No.~Z..
dated ..........0~t...2~ ..... , 19. ~, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which $]~s certificate ~s
issued is . .P?.~.?.a.t.e...~..e..f...a~l...~.y...d.w.o.1..]..~. f .......................................
The certificate is issued toHear~..¢o..0sbome. III ..... miner. ....................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ~.e.~l...~.f ............................
UNDERWRITERS CERTLFICATE No..11~.95~ ..... ~C~ .20...192~. ...............
HOUSE NUMBER .... l.a~e .....Street ..........................................
Building Tn-~peetor
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN GLERK'S OFFIGE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 6946 Z
Dote ........................... ~l~t~....2.~ ............ 19.~t;~..
Permission is hereby granted to:
7-..~.~..Co=t rac.t~=~.....A~.C..~ea~..Go...O~bor~ Ill
........... F1~her. a..Zel~nd ...................................
t o ~.'~l.~.d ..ne~...oz~e...~:L1y...~.~Zltng .......................................................................................
at premises located at ...... Qe~..~'£e~z...~.~'e .....................................................................................
....................................................... ~'lsher~..Zsla~l ....... ~o3:o ......................................................
pursuant to application dated ......................... ~g.....~. ................ , 1~...., and approved by the
Building Inspector.
Fee ~$.~ ..........
/, 1-~ -- Buildin~lnspector ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
ELW BUREAU OF ELECTRICI~; i ,;~ · ·
JOHN STREET NEW YORK, ~:)L{tK lOO3Jt
THIS CE~IFIES THAT
was examined on NovemoeZ' 1 ~4 ,,J, ~1 ~( q and fou~ to ~ in compliance with the requirements of th~ ~rd.
RXTU~ [ E~A [ WIT HE [ RXT~ ~ I~G~S[ O~NS [~W~S ~HAUST FANS
1 125 MCB
Panelboa~ds: 1-22Qb ~1~, lOOamp
Box 202
COPY FOR BUILDING DEPARTMENT. THIS COpY or~ CERTIFICATE 'M.~.~j .-I~OT BE *ALTERED IN ANY MANNER.
lrO~M NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'~ OFFICE
SOUTHOLD, N. Y.
Application .................
Disapproved o/c ...~ ......... ~ .............
~ ' (Buildinglnspector) l
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building
Inspector_, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving a data led descr pt on of layout ofproperty must be drawn on the diagram which is part of this application.
c. The work covered by this application may not be commenced before issuance of Building Permit. ~
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Count. y, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections.
Marie and Renald Zanghetti
DBA Z&S CONTRACTING
(Signature of applicant, or name, if a corporation)
~.~.X..~9..2.~.. Fishers Island, N. Y..06390 .....
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Oeneral Centrac er
Name of owner of premises Henr~ O. 0sbern 111
If applicant, is a corporate, sians~ture of duly authorized officer.
Builder's License No...0..6...-..0.~..0..1..?..~..~. ...........................
Plumber's License No...~.~.'.~. ..................................
Electrician's License No..,c~..b<.-..~. .............................
Other Trade's License No ............................................... . _ plans
]. Locotion of Iond on which proposed work will be done. N~op No.: .8..~.~,,..,8..~.,e...e..~..,.~,~.,.?,z.... Lot No .........................
Street and Number0scan View Avenue, Fishers I.s. 1..~...d: N.Y: Seu'theld
Municipality
2. State existing use and occupancy'of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy Vacant
b. Intended use and occupancy Pr.i...v. ate Si,..n~le family, residence.
3. Nature of work (check which applicable): New Building .... ..X. ........... ,~ddition .................. Alteration ......... ( ........
Repair .................. Removal ..................Demolition .................... Other Work .............................................. : .......
4. Estimated Cost ..... ~.5~.0.0J~.e.~.~. .............................. Fee C~) / / ~'~- (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling units ..... .3. .................... Number of dwelling units on each floor ............................
If garage, number of cars ...~....~...l~..t...~...~.?.~..o..~...e..~. ..................................................................................... ~ ...............
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ~e. Tte. ................
7. Dimensions of existing structures, if any: Front. ........................... Rear ................................ Depth ....................
Height ........................ Number of Stories .................................................................................................................
Dimensions of same structure with alterations or additions: Front .................................... Rear ............................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height ~.bf..n. ............. Number of Stories .... ~. ..............................................................................................................
9. Size of lot: Front ~.~..~....~.~.~..~...~.~.....~..~....~..]-...~..~...~. ...... Rear .......................................... Depth ................................
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
11. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...~ ....................................................
13. Will lot be regraded ....13.~t ................... Will excess fill be removed from premises: ( ) Yes (X) No
Name of Architect ~,~.e,,,~,..,V..:,..,,~..f,~..h..~...e,?.. ....................... Address Phone 6. ....
................................................... Fisher8 Island~-
Name of Contractor ~.~.. CONTRACTING . Address .........~1'~' ............. ~none No.'~.~..8...-.~.~.,~. ....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
See site plan en ~rawings -sheet
~TATE OF NEW~OI~I ^~. icc
COUNW OF .......
......... ..~.~.~,]:.,~..~..?.~.~..~.~.~...~...,~.~...i~....e.~.~..,3:'-"~ ' ' ' ' ........................... being duly sworn, deposes and says that he is the applicam
(Name of individual signing contrace
above named.
He is the Partner, ~S OONTRAOTING
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file
this application; that all statements contained in this application are tree to the best of his knowledge and belief; and
fha~ the work. will be performed id the manner set fo~h in the application filed therewith.
Sworn to before me this
~ ~D]iD~ St~te o( New ?ozk
.N6.' 52-002~80
~al~ in Suff?lk Coun~
Te~ expires M~ich ~, 19 ~
APPROVED AS NOTED
DATE: ~OI// ~'~ tl. 7~.~
NOTIFY BUILDING DEPARTMENT AT
765-2660 9AM TO 4PM FOE REQUIR-
ED INSPECTIONS:
1, BEFOBE BACKFILLING FOUNDA-
TION OR START FRAMING
:2. BEFORE COVERING PIPELINE
3, FINAL WHEN JOB COMPLETED
NOT RESPONSIBLE FOR DESIGN OR CON-
STRUCTION ERRORS
LIGHT I 1'-4 G PL-AN 6
PERMIT INCLUDES APPI~OVAL
TO REMOVE EXCESS FILL
FROM ABOVE PREM[SES BY
REGRADING LOT t ¢
DRIVEWAY CONSTRUDTION
CESSPOOL CONSTRUCTION
CELLAR CONSTRUCTION
OTHER
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